PENNSYLVANIA CVS PHARMACY, L.L.C. (NPI# 1518065242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518065242 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #01625 |
| Practice Address |
1565 Wharrisburg Pk Middletown PA 17057 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7179449681 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PP412008L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3900897 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #01625 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189294 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1717 N 12th St Unit F, Philadelphia, PA 19122-2585 | 2019-05-14 |
| 1750874517 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 456 N 5th St, Philadelphia, PA 19123 | 2018-06-07 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1154833069 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1589 Fruitville Pike, Lancaster, PA 17601-4005 | 2017-11-01 |
| 1821513813 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2001 Pennsylvania Ave, Philadelphia, PA 19130-3823 | 2017-08-10 |
| 1497059463 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2363 Oregon Pike, Lancaster, PA 17601-4608 | 2011-01-05 |
| 1003118621 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 445 West Street Rd., Warminster, PA 18974 | 2010-12-02 |
| 1790091668 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 Oxford Valley Rd, Yardley, PA 19067 | 2010-08-30 |
| 1336451442 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2110 Spring Valley Rd, Lancaster, PA 17601-2427 | 2010-07-06 |
| 1730400953 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 130 Schuylkill Rd, Phoenixville, PA 19460-2232 | 2010-06-22 |
| Street Address |
1565 WHARRISBURG PK |
| City | MIDDLETOWN |
| State | PA |
| Zip Code | 17057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205388105 | Jeffrey Giovino | Driver | 3265 Fulling Mill Road, Middletown, PA 17057 | 2016-10-27 |
| 1619330123 | David I Shatto Jr. | Pharmacist | 1581 Woodridge Drive, Middletown, PA 17057 | 2016-04-01 |
| 1528440344 | Alexis Rose Falcone | Occupational Therapist | 1020 N. Union Street, Middletown, PA 17057 | 2015-06-29 |
| 1477992329 | Melinda Ann Ramberger | Physical Therapy Assistant | 1020 North Union St, Middletown, PA 17057 | 2013-06-24 |
| 1700906963 | Londonderry Fire Company No.1 | Ambulance | 2655 Foxianna Road, Middletown, PA 17057 | 2007-03-30 |
| 1780711333 | Bruce S Bashline D.o. Inc. | Family Medicine | 1100 Spring Garden Drive, Middletown, PA 17057 | 2007-02-28 |
| 1619036142 | Ck Kc Inc | Pharmacy | 436 East Main Street, Middletown Pharmacy & Gift Shop, Middletown, PA 17057 | 2006-12-08 |
| 1235242512 | Andrew V Welkie | Dentist | 244 Adelia St, Middletown, PA 17057 | 2006-08-17 |
| 1790757094 | Gregory Albert Anoia Sr. | Optometrist | 120 West Water Street, Box 160, Middletown, PA 17057 | 2006-02-02 |
| 1255939708 | Drayer Physical Therapy Institute LLC | Occupational Therapist | 302 W Main Street, Ste 101, Middletown, PA 17057 | 2020-10-15 |
| Find all providers in zip 17057 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592001 | Dolsontown Pharmacy Corp. | Pharmacy | 1291 Dolsontown Rd Ste 2, Middletown, NY 10940-4772 | 2017-07-27 |
| 1265864912 | Tas Pharmacy Inc | Pharmacy | 445 North St Route 17 M, Middletown, NY 10940-0000 | 2013-08-05 |
| 1699047423 | Clark Rx LLC | Pharmacy | 710 S Breiel Blvd Ste B, Middletown, OH 45044-6202 | 2012-02-09 |
| 1013211507 | Rite Aid Corporation | Pharmacy | 1 Fitzgerald Dr, Middletown, NY 10940-3059 | 2010-12-27 |
| 1255507695 | Prestige Pharmacy Inc | Pharmacy | 36 42 James St, Middletown, NY 10940 | 2008-05-06 |
| 1619036142 | Ck Kc Inc | Pharmacy | 436 East Main Street, Middletown Pharmacy & Gift Shop, Middletown, PA 17057 | 2006-12-08 |
| 1760576177 | Kevren Inc | Pharmacy | 1971 Central Avenue, Middletown, OH 45044 | 2006-10-03 |
| 1811009822 | Middletown Apothecary Inc | Pharmacy | 149 Wickham Ave, Middletown, NY 10940-3721 | 2006-08-31 |
| 1205849635 | Golub Corporation | Pharmacy | 511 Shutt Street, Middletown, NY 10940 | 2006-08-15 |
| 1932128964 | Stop and Shop Supermarket Co LLC | Pharmacy | Rt 35s and Twin Brook Ave, Middletown, NJ 07748 | 2006-07-19 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 17057 |
Please comment or provide details below to improve the information on PENNSYLVANIA CVS PHARMACY, L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.